Individual
BRYAN - LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
825 WASHINGTON ST, SUITE 115, NORWOOD, MA 02062-3441
(781) 769-0465
(781) 769-4696
Mailing address
145 GAY ST, WESTWOOD, MA 02090-2596
(781) 329-5642
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
38491
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2061511
—
MA
05
—
K02087
—
MA
Enumeration date
10/18/2005
Last updated
07/08/2007
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